CMS' Financial Incentives Didn't Move the Dial on Home Dialysis Incentives may just not be strong enough, say some Oct 07, 2022
What Drug Laws Are in the Inflation Reduction Act? The Answer Might Surprise You It's not just about negotiating drug prices in Medicare Oct 04, 2022
The Future Looks Bleak for Surgical Residents Like Me Looming Medicare cuts will force surgeons to do more with less, undermining trainee success Sep 28, 2022
Biden Hits Republicans, Drug Companies in Healthcare Speech "This year, the American people won and Big Pharma lost" Sep 27, 2022
It's High Time for Broader Access to Non-Opioid Pain Medication Limited Medicare coverage poses barriers, but bipartisan legislation offers a solution Sep 22, 2022
Wrangling Medicare: A New Vision A look at the future of the largest U.S. health insurance provider with Meena Seshamani, MD, PhD Sep 20, 2022 podcast
House Bill Would Fix Glitch in Medicare Non-Emergency Ambulance Transport Program Measure would require states to help some "dual eligibles" who have trouble accessing the benefit Sep 15, 2022
How Have Glucagon Costs Changed in Recent Years? Wholesale costs spiked from 2010 to 2020, but out-of-pocket prices remained mostly stable Aug 30, 2022
Docs Likely to See Pay Raise From Private Insurers in 2023, Expert Says Payment negotiations "really are favoring the providers right now" Aug 25, 2022
Sleeve Gastrectomy Gets Big Boost After Medicare Coverage Took Effect Geographic variations were observed, with the highest increase seen in New Jersey Aug 18, 2022
Hospitals Will Still Have to Share Safety Data Publicly CMS will publish scorecard of avoidable patient harm after all Aug 04, 2022
Dear Insurers: It's Time to Cover Weight Loss Drugs Universal coverage can increase medication access and improve population health Jul 27, 2022
Heart Failure Drugs Can Be Unaffordable on Medicare, Study Finds Older adults are subject to cost-sharing and other medication coverage restrictions Jun 21, 2022
Medicare Drug Price Negotiation in the Spotlight at AMA Annual Meeting Amendment on international pricing draws controversy Jun 13, 2022
Renowned Doc Accused of Sexual Assault; AARP's Big Bounty; DOJ Targets Billing Fraud This past week in healthcare investigations Jun 08, 2022
Study: Not Sticking to Schedule Shouldn't Block PAP Machines for Kids With OSA Improvements did not hinge on children meeting a standard insurer's threshold of PAP adherence Jun 05, 2022
Taxpayers Paid Twice for Healthcare Private insurers are profiting more than ever during the pandemic May 25, 2022
One in Four Medicare Patients Harmed in Hospitals, Nearly Half Preventable CMS needs to do more to penalize facilities with avoidable adverse events, report says May 13, 2022
Insurers Need a Reason to Care About Obesity Better incentives can make healthy weight a top priority May 09, 2022
Who Is Really Driving Up Insulin Costs? More attention needs to focus on pharmaceutical middlemen Apr 18, 2022
The Winners and Losers of the Proposed Insulin Cost Cap While it benefits some, the $35 cap is only a stopgap measure Apr 08, 2022
Medicare Claws Back Money for Dubious Birth-Tissue Stem Cell Shots Government seeks to recoup more than 2 years of payments for unproven treatments Mar 16, 2022
No Medicare Payment Hike Needed for Docs in 2023, MedPAC Says Beneficiaries seem to have adequate access to care, and few physicians are dropping out Mar 15, 2022
A Tale of Two Accountable Care Organizations There is still hope for the future of value-based care Mar 10, 2022
CMS Sepsis Measurement Under Fire Measure doesn't work and its re-endorsement process was flawed, critics say Mar 08, 2022
CMS Revamps Direct Contracting Model Participants in current GPDC Direct Contracting must meet new equity and governance requirements Feb 25, 2022
Costs Soaring for Ground Ambulance Transport Surprise billing law doesn't apply to ambulance rides Feb 22, 2022
Mental Health Crisis Demands Better Coverage, Worker Pay, Experts Tell House Advocates argue for workforce incentives, peer involvement, and closing Medicare coverage gaps Feb 03, 2022
Medicare Patients Can't Get Their At-Home COVID Test Kits Covered -- Yet But CMS says it's working to provide that coverage Jan 25, 2022
Medicare Plans to Restrict Coverage of New Alzheimer's Drug Proposal would cover aducanumab (Aduhelm) in patients on qualifying clinical trials Jan 11, 2022
Was This Really Our Best Attempt at Step 1 Exam Reform? Shifting to a pass/fail system has unintended consequences Nov 23, 2021
AMA Delegates Spar Over Medicare Drug Price Negotiation Some worry this could lead to price controls for physician services Nov 14, 2021
Young Physicians Need Support From Organized Medicine, Says AMA President "The fear and weariness ... I'd call it battle fatigue" Nov 13, 2021
Should Medicare Pay the Same Amount Regardless of Where a Service Is Provided? MedPAC members like the idea -- with a few caveats Nov 10, 2021
Final Physician Fee Schedule Rule Includes a Nearly 4% Payment Cut Will leave practices in "financial peril," says AMA president Nov 03, 2021
Biden Announces Deal With Congress on Infrastructure Bill Medicare hearing benefits make the cut, but dental, vision, drug-pricing provisions are left out Oct 28, 2021
Medicaid Will Be a Bigger Target for Alternative Payment Models, CMS Official Says Health equity also will be a focus, says CMMI official Ellen Lukens Oct 13, 2021
Medicare Is Sticking With Mandatory Demonstration Models for Now But "we need to move away from having a model for every episode," says CMMI head Elizabeth Fowler Oct 06, 2021